Active NPI
Samantha Joelle Lupton, AA-C
- Anesthesiologist Assistant
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 200000010
- Practice address
- 2308 Wesvill CT
Raleigh, NC 27607-2949 - Phone
- (919) 781-4311
- NPI assigned
- Jun 4, 2009
- Last updated
- Oct 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 2009030827 | MO | |
| Anesthesiologist Assistant | 367H00000X | 200000010 | NC | Primary |
Addresses
Primary practice location
2308 Wesvill CT
Raleigh, NC 27607-2949
Mailing address
3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (985) 264-6438
Other practice location 1
3635 Vista Avenue
St Louis, MO 63110
Phone (314) 268-7267
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Slupton24389@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | HTTPS://fhir.ssmhc.com/fhir/api/FHIR/DSTU2 | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200000010 | NC | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of North Carolina, PLLC | Current | Accepting new patients | |
| American Anesthesiology of North Carolina, PLLC | Current | Accepting new patients | |
| Sluh Anesthesia Physicians, L.L.C. | Past | Accepting new patients |
Locations
2308 Wesvill Ct
Raleigh, NC 27607
Phone (919) 781-4311
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- slupton24389@direct-ehr-ssmhc.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
-
dba Carolina Pain Consultants
- Pain Medicine (Anesthesiology) Physician
- Wake Forest, NC
- NPI 1942248547
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1821385493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1821224858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 VISTA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102539",
"telephone_number": "985-264-6438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2308 WESVILL CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276072949",
"telephone_number": "919-781-4311"
}
],
"practiceLocations": [
{
"address_1": "3635 Vista Avenue",
"address_purpose": "LOCATION",
"city": "St Louis",
"state": "MO",
"postal_code": "63110",
"country_code": "US",
"telephone_number": "314-268-7267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUPTON",
"first_name": "SAMANTHA",
"middle_name": "JOELLE",
"credential": "AA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "MO",
"license": "2009030827",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "NC",
"license": "200000010",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Slupton24389@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Slupton24389@direct-ehr-ssmhc.com",
"address_1": "3635 Vista Avenue",
"city": "St Louis",
"state": "MO",
"country_code": "US",
"postal_code": "63110",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "HTTPS://fhir.ssmhc.com/fhir/api/FHIR/DSTU2",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "3635 Vista Avenue",
"city": "St Louis",
"state": "MO",
"country_code": "US",
"postal_code": "63110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.